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Michael Glenn Kecman, DPT

Physical Therapist in Herndon, VA. Individual provider (NPI-1).

NPI number1568782837
StatusActive
Last updated in NPPESDec 11, 2012

Details

NPI
1568782837
Entity type
Individual (NPI-1)
Name
Michael Glenn Kecman
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Jun 9, 2010
Last updated
Dec 11, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2305206454VAYes

Practice location

13039 Worldgate Dr
Herndon, VA 20170-4374

Phone 703-689-3164 · Fax 703-689-3167

Mailing address

Po Box 1769
Middleburg, VA 20118-1769

Phone 540-687-8181 · Fax 540-687-8256

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